利尿合剂治疗混合痔术后尿潴留的临床研究

发布时间：2018-12-16 07:39

【摘要】：目的：对利尿合剂治疗混合痔术后尿潴留的临床治疗效果进行分析,验证利尿合剂临床安全性,为临床治疗术后尿潴留探寻安全、有效、易行的方法提供研究依据。方法：选自2015年6月至2016年2月南京市中医院腰麻下混合痔术后患者,选取符合标准的60例尿潴留患者,随机分为利尿合剂组和哈乐组,各30例。哈乐组为对照组。术后发生尿潴留患者予以利尿合剂1付。利尿合剂组成：黄芪30g猪苓9g黄柏6g车前草12g乌药6g甘草梢3g知母9g通草6g陈皮5g桂心(后下)0.6g。煎为250ml,顿服。对每例患者的观察指标进行统计,治疗无效者予以导尿。哈乐组为对照组,术后发生尿潴留患者予以口服哈乐一粒,0.2mg,对每例患者的观察指标进行记录。治疗无效者予以导尿。对两组患者治疗后的有效率、首次排出尿液时间、首次尿量以及有无不良反应等评价指标进行记录和统计学分析。结果：(1)两组患者在年龄、性别、结扎痔核数量、病程、手术时间等基本资料方面经过统计学对比分析,无差异,具有统计学可比性。(2)利尿合剂组和哈乐组在发生尿潴留后按照预定的治疗方案进行治疗和干预后,临床疗效存在显著差异。利尿合剂组16例治愈,7例好转,7例无效导尿,总有效率76.66%；哈乐组5例治愈,7例好转,18例无效导尿,总有效率40%。两组相比P0.05,统计学差异显著。(3)在首次排尿时间上,利尿合剂组短于哈乐组,两组相比P0.05,在首次尿量上,利尿合剂组多于哈乐组,两组相比P0.05.结论：利尿合剂组与哈乐组相比,利尿合剂治疗混合痔术后尿潴留的有效率高疗效更突出。利尿合剂组用药后距首次排尿时间间隔短,首次排尿量多,说明利尿合剂较哈乐不仅起效快,而且在临床效果上更明显。
[Abstract]:Objective: to analyze the clinical effect of diuretic mixture in the treatment of urinary retention after mixed hemorrhoids, to verify the clinical safety of diuretic mixture, and to provide the basis for the study of safe, effective and feasible methods for the treatment of postoperative urinary retention. Methods: from June 2015 to February 2016, 60 patients with urinary retention in Nanjing Hospital of traditional Chinese Medicine were randomly divided into two groups: diuretic mixture group (n = 30) and halo group (n = 30). Halo group was used as control group. Postoperative patients with urinary retention were given diuretic mixture 1. The composition of the mixture: Astragalus membranaceus 30g, Polyporus umbellata 9g, Radix Phellodendri chinensis 6g, Astragalus chinensis 6g, Radix Glycyrrhiza 6g, Radix Glycyrrhiza 6g. Fried for 250 ml, dressed. The observation indexes of each patient were statistically analyzed, and the patients with ineffective treatment were given urethral catheterization. The control group was used as the control group. The patients with urinary retention were given orally one pill 0.2 mg. The observation indexes of each patient were recorded. Urethral catheterization is given to those who have not been treated. The effective rate, the time of first excretion of urine, the first urine volume and the adverse reaction were recorded and analyzed statistically. Results: (1) there was no significant difference between the two groups in age, sex, number of ligated hemorrhoids, course of disease, operation time and so on. (2) there were significant differences in clinical efficacy between the diuretic mixture group and the halo group after the treatment and intervention according to the scheduled treatment plan after the occurrence of urinary retention. In the diuretic mixture group, 16 cases were cured, 7 cases were improved, 7 cases were ineffective catheterization, the total effective rate was 76.66%, while in the halo group, 5 cases were cured, 7 cases were improved, 18 cases were ineffective catheterization, the total effective rate was 40%. The difference between the two groups was significant (P 0.05). (3) in the first time of urination, the diuretic mixture group was shorter than the halo group, and the two groups compared to the P0.05 group. In the first urine volume, the diuretic mixture group was more than the halo group, and the two groups were compared to the P0.05 group. Conclusion: compared with halo group, the effective rate of diuretic mixture in treating postoperative urinary retention of mixed hemorrhoids is more effective. The interval between the first urination and the first urination time was short and the first urination volume was much in the diuretic mixture group, which indicated that the diuretic mixture not only had a faster effect than Halle, but also had a more obvious clinical effect.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R657.18

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